Experience certainly improves technical skill at RALP

There has been a lot of media noise about a poster presented at the Genitourinary Cancer Symposium. The poster supposedly suggests that it takes 1,600 robot-assisted procedures (RALP) to be really good at this form of surgery.

Penile length after RALP and rehab: a small, single-center case series

Over the years a number of studies have documented a reduction in penile size after open radical retropubic prostatectomy. A newly published study reports on the impact of robot-assisted laparoscopic radical prostatectomy (RALP) and penile rehabilitation on penile size.

Comparative evaluation of open vs. robot-assisted surgery for localized prostate cancer

A new paper in the Scandinavian Journal of Urology and Nephrology has provided detailed information about the design and conduct of an ongoing, prospective, non-randomized trial comparing open radical retropubic prostatectomy (RRP) to robot-assisted laparoscopic radical prostatectomy (RALP) in treatment of localized prostate cancer.

Comparative data on open and robot-assisted prostatectomy in “low caseload” facilities

A newly reported Swiss study provides us with what appear to be some sound comparative data on the relative merits of open radical prostatectomy (RP) and robot-assisted radical prostatectomy (RALP) at a center with a relatively low-volume caseload.

RALP as a treatment for prostate cancer in HIV-positive patients

A report from the University of California San Diego says that robot-assisted laparoscopic prostatectomy (RALP) appears to be a safe and effective treatment for localized prostate cancer in men who are HIV-positive but are taking highly active antiretroviral therapy (HAART) and have undetectable viral loads (< 50).

5-year outcomes of patients treated with RALP at a high-volume, specialty center

There has been much discussion of whether surgical outcomes following robot-assisted laparoscopic prostatectomy (RALP) are comparable to those observed after open surgery. The 5-year outcome data from the Vattikuti Urology Institute at Henry Ford Hospital in Detroit may help us to make such a determination.

Intra-operative “fire” during RALP — a surgical complication to be avoided!

A recent paper in European Urology reports the first (known) case of an “intra-abdominal combustion” during a robot-assisted laparoscopic radical prostatectomy (RALP).

Rapid increase in number of radical prostatectomies in the USA

Another article in this week’s New England Journal of Medicine addresses the rapid increase in the number of robot-assisted surgical procedures carried out in the US between 2005 and 2008.

Laser dissection of the NVBs during RALP

A newly published report provides initial information from a pilot study on the feasibility of laser dissection of the neurovascular bundles (NVBs) during robot-assisted laparoscopic prostatectomy (RALP) as a treatment for localized prostate cancer.

Does a pre-op MRI change surgical decision-making?

Data presented last week at the annual meeting of the American Roentgen Ray Society suggest that preoperative, endorectal magnetic resonance imaging (eMRI) of the prostate may help urologic surgeons to make decisions about whether to carry out nerve-sparing or non-nerve-sparing surgery in patients with prostate cancer.

Prostate cancer news reports: Saturday, May 1, 2010

Today’s news reports include comments on studies dealing with: A compound panel of markers for predicting risk for prostate cancer Open vs. robot-assisted radical prostatectomy: urologists’ perceptions Clinically relevant quality of life assessment after first-line therapy A compound panel of markers for predicting overall survival of patients with CRPC

Quality of life after first-line treatment: a prospective, comparative study

Data to be published in the May 2010 issue of the Journal of Urology are going to make a lot of urologists rather less than happy about the implications for the use of radical prostatectomy as first-line treatment for prostate cancer.

Does type of surgery make a difference to prostate cancer outcomes?

A new analysis of the outcomes of different types of radical prostatectomy appears to show no difference between the patients’ clinical outcomes following laparoscopic (including non-robot-assisted and robot-assisted) categories of surgery (LRP/RALP) and traditional “open” radical retropubic prostatectomy (RRP) when used to treat Medicare patients of 66 years or older.

Prostate cancer news reports: Thursday, February 18, 2010

Today’s news reports include commentary on studies dealing with: Whether RALP outcomes are really comparable to those from RRP Surgical expertise, surgical caseload, and pelvic lymphadenectomy in treatment of intermediate- and high-risk prostate cancer Sexual function after first-line treatment with SBRT (CyberKnife) Distinguishing true biochemical recurrence from a PSA “bounce” after 125I-based prostate brachytherapy

The marketing of RALP: 2002 to 2010

Many readers may be interested in an article by Gina Kolata in Saturday’s New York Times on the rapid uptake of robot-assisted laparoscopic prostatectomy (RALP) for the first-line treatment prostate cancer.

Follow

Get every new post delivered to your Inbox.

Join 332 other followers